At a pre-wedding party for his daughter Sarah, Moe Prager is approached by his ex-wife and former PI partner Carmella Melendez. It seems Carmella's estranged sister Alta has been murdered, but no one in New York City seems to care. Why? Alta, a FDNY EMT, and her partner had months earlier refused to give assistance to a dying man at a fancy downtown eatery.

Moe decides to help Carmella as a means to distract himself from his own life-and-death struggle. Making headway on the case is no mean feat as no one, including Alta's partner Maya Watson, wants to cooperate. Moe chips away until he discovers a cancer roiling just below the surface, a cancer whose symptoms include bureaucratic greed, sexual harassment, and blackmail. But is any of it connected to Alta's brutal murder?